CCN 185482 · Fayette County, Kentucky
The Willows at Fritz Farm
2710 Man O War Boulevard, Lexington, KY 40515
The Willows at Fritz Farm is a 54-bed for-profit nursing home in Lexington, Kentucky, first certified for Medicare or Medicaid in 2017. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 49.7 residents a day, about 92% of its certified beds. It has an active FHA-insured Section 232 loan: $9.4 million originally, at 2.38%, with $8.4 million outstanding as of September 30, 2026 and maturity in January 2056.
Facility facts
- Certified beds
- 54
- Average residents per day
- 49.7 (92.0% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Trilogy Healthcare of Fayette II, LLC
- Certified since
- Mar 8, 2017
- Chain or affiliated group
- Trilogy Health Services (127 facilities, chain average 4.2 stars)
- Location
- Urban, part of a continuing care retirement community
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Kentucky median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 59 at 1, 45 at 2, 55 at 3, 55 at 4, 52 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.98 | 3.75 | 3.68 |
| RN hours per resident per day | 1.08 | 0.67 | 0.58 |
| Weekend nurse hours per resident per day | 3.74 | ||
| Nursing staff turnover | 52.0% | 45.0% | 44.9% |
| Occupancy (residents / beds) | 92.0% | 90.3% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 3 (May 15, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Willows at Fritz Farm meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Continental Merger Sub LLCOrganization | Indirect Ownership Interest | n/a | 10/01/2021 |
| Northstar Healthcare Income IncOrganization | Indirect Ownership Interest | n/a | 10/01/2021 |
| Northstar Healthcare Income Operating Partnership LPOrganization | Indirect Ownership Interest | n/a | 10/01/2021 |
| Trilogy Holdings Nt-Hci, LLCOrganization | Indirect Ownership Interest | n/a | 10/01/2021 |
| Regions BankOrganization | Mortgage Interest | n/a | 07/20/2018 |
| Trilogy Management Services LLCOrganization | Operational / Managerial Control | n/a | 10/01/2021 |
| Blair, ElizabethIndividual | Operational / Managerial Control | n/a | 09/03/2019 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Regions Bank.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 16, 2020 | 223(f) refinance or purchaseHUD project name: The Willows at Fritz Farm, 85 beds. Lender at endorsement: Regions Bank | $9,440,000 | Active: 2.38%, $8,391,297 balanceMatures Jan 1, 2056. Servicer: Regions Bank | 08322098 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.